Individual provider Active NPI

Dennis L Bernardini, MD

  • Pulmonary Disease Physician
  • Huntington, NY
National Provider Identifier
1760573299
Registry record updated Jun 20, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pulmonary Disease PhysicianTaxonomy code 207RP1001X
License
145365 Issued in NY
Practice address
175 East Main Street
Huntington, NY 11743-3399
Phone
(631) 424-3787
Fax
(631) 427-0198
NPI assigned
Sep 28, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 20, 2013

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pulmonary Disease Physician 207RP1001X 145365 NY Primary

Addresses

Primary practice location

175 East Main Street
Huntington, NY 11743-3399

Mailing address

175 East Main Street
Huntington, NY 11743-3399
Phone (631) 424-5868

Other identifiers 1

IdentifierTypeStateIssuer
01221030MedicaidNY

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20080707000050 NY Practitioner - Internal Medicine 6800968041 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
145365NYMDPulmonary Disease Physician

Practice roles

OrganizationSpecialtyStatusNew patients
North Shore-Lij Medical PC CurrentSince Mar 20, 2017 Accepting new patients

Locations

175 E Main St
Ste 104
Huntington, NY 11743
Phone (631) 424-3787

175 E Main St
Huntington, NY 11743
Phone (631) 424-3787

300 Community Dr
Plandome, NY 11030

972 Brush Hollow Rd
Westbury, NY 11590

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1159401600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1371686400000",
    "number": "1760573299",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "175 EAST MAIN STREET",
            "city": "HUNTINGTON",
            "state": "NY",
            "postal_code": "117433399",
            "telephone_number": "631-424-5868",
            "fax_number": "631-427-0198"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "175 EAST MAIN STREET",
            "city": "HUNTINGTON",
            "state": "NY",
            "postal_code": "117433399",
            "telephone_number": "631-424-3787",
            "fax_number": "631-427-0198"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BERNARDINI",
        "first_name": "DENNIS",
        "middle_name": "L",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-09-28",
        "last_updated": "2013-06-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RP1001X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Pulmonary Disease",
            "state": "NY",
            "license": "145365",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01221030",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Huntington, NY

Sources for this page

Verify at the official NPI Registry.